title: The role of consulting psychiatrists for obstetric and gynecologic inpatients.
abstract: BACKGROUND
  The purpose of this study was to investigate the consultation psychiatry service to the Obstetrics and Gynecology Department in a general hospital, focusing on referral patterns and consultation recommendations.
  
  
  METHODS
  A retrospective review of the medical charts and consultation records of obstetric and gynecological patients referred for psychiatric consultation from Dec. 2003 to Nov. 2009 was performed.
  
  
  RESULTS
  One hundred and eleven patients were referred during the 6-year period, a psychiatric referral rate of 0.11% among 99,098 obstetric and gynecologic admissions. Obstetric and gynecologic consultations comprised 0.64% of all psychiatric consultations. The most common reasons for referral were depression (52.25%), past psychiatric history (31.53%), insomnia (29.73%) and confusion (24.32%). The most common DSM-IV psychiatric diagnoses were depressive disorder (37.84%), schizophrenia and other psychoses (20.72%), delirium (17.12%) and adjustment disorder (10.81%). The most frequent physical diagnoses of referred patients were neoplasms (72.97%), infectious diseases (42.34%) and complications of pregnancy and puerperium (17.12%). Recommendations included pharmacological intervention (89.19%) and psychological management (72.07%).
  
  
  CONCLUSIONS
  The psychiatric referral rate of obstetric and gynecological inpatients was relatively low compared with that of other departments. More collaboration and liaison between gynecologists and consultation psychiatrists may provide better care for obstetric and gynecological inpatients.
authors.affiliation: Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan, ROC.
authors.forename: Huang-Li
authors.initials: HL
authors.lastname: Lin
authors.forename: Hung-Hsueh
authors.initials: HH
authors.lastname: Chou
authors.forename: Chia-Yih
authors.initials: CY
authors.lastname: Liu
authors.forename: Shi-Chieh
authors.initials: SC
authors.lastname: Hsu
authors.forename: Mei-Chun
authors.initials: MC
authors.lastname: Hsiao
authors.forename: Yeong-Yuh
authors.initials: YY
authors.lastname: Juang
mesh_terms: D005260:Female; D005831:Genital Diseases, Female / Q000523:psychology*; D006801:Humans; D007297:Inpatients; D009775:Obstetrics and Gynecology Department, Hospital; D010819:Physician's Role; D011570:Psychiatry; D012017:Referral and Consultation; D012189:Retrospective Studies